Anxiety Treatment

Anxiety treatment in Omaha & Papillion, Nebraska.

Evidence-based medication management, CBT-informed strategies, and thoughtful care for generalized anxiety, panic, and high-functioning anxiety. In-person in Papillion or telehealth anywhere in Nebraska.

Insurance accepted · Most new patients seen within 1 to 2 weeks · 60-minute first visit

Anxiety is one of the most common reasons adults in the Omaha and Papillion area seek mental-health care, and it is one of the most treatable. At Midwest Mind & Body Healthcare, we provide evidence-based treatment for adults 18 and over experiencing generalized anxiety disorder, panic disorder, high-functioning anxiety, perinatal anxiety, and anxiety that co-occurs with ADHD, depression, hormonal change, or chronic stress.

Our founder, Kim Wohlwend, MSN, APRN, is a dual ANCC board-certified Family Nurse Practitioner and Psychiatric-Mental Health Nurse Practitioner. That combination matters for anxiety care: anxiety rarely exists in isolation. Thyroid function, sleep architecture, hormone levels, stimulant use (including caffeine), medication interactions, and lifestyle all influence how anxiety presents and how it responds to treatment. Looking at the whole picture is part of how we practice.

Every visit is designed around you, not a template. The first appointment is a full 60 minutes, long enough to actually understand what brought you in, what you have already tried, and what you want treatment to accomplish. Follow-ups are focused and practical, with direct access to a clinician rather than being routed through layers of triage.

Who We Help

Anxiety shows up in many ways.

We treat the full range of anxiety-spectrum conditions in adults. You do not need to have a formal diagnosis to book a visit. If it affects your sleep, your focus, your relationships, or your ability to enjoy life, that is reason enough.

Generalized Anxiety Disorder (GAD)

Persistent worry that is hard to control, often about work, health, family, or everyday situations. Usually accompanied by muscle tension, fatigue, sleep disruption, and difficulty concentrating.

Panic Disorder

Recurrent panic attacks with physical symptoms (racing heart, shortness of breath, dizziness, chest pressure) and ongoing worry about when the next one will happen. Treatable with medication plus skills to interrupt the cycle.

High-Functioning Anxiety

You meet responsibilities, perform well at work, and look "fine" to others, while your mind never slows down. See our article on high-functioning anxiety for a deeper look.

Social Anxiety

Fear and avoidance of social or performance situations, often rooted in concern about judgment. Responds well to medication plus graduated exposure strategies.

Health Anxiety

Persistent worry about health and bodily symptoms, often escalated by online searches. Treated with a combination of reassurance strategy, medication where appropriate, and building tolerance for uncertainty. Distinct from but overlaps with OCD and related anxiety disorders.

Perinatal & Postpartum Anxiety

Anxiety that emerges or intensifies in pregnancy or in the year after childbirth, distinct from postpartum depression. Treatment is individualized with attention to pregnancy and breastfeeding safety.

Anxiety with ADHD

Adult ADHD and anxiety frequently co-occur, and each can masquerade as the other. We evaluate both carefully to avoid treating only the loudest symptom. See our ADHD treatment page.

Anxiety & Hormonal Change

Perimenopause, postpartum transition, and thyroid dysfunction can all drive new or worsening anxiety. Dual certification in psychiatric and family practice lets us look at hormones and metabolism alongside mental health.

Our Approach

How anxiety treatment works here.

01

Comprehensive evaluation

A 60-minute first visit covers symptom history, medical and psychiatric history, current medications and supplements, sleep, substances, and life context. We order labs when needed to rule out medical contributors.

02

Individualized plan

Treatment typically combines evidence-based medication (when appropriate), CBT-informed strategies you can apply between visits, and lifestyle changes with the biggest impact on anxiety: sleep, caffeine, movement, and boundaries.

03

Close follow-up

Medication effects are monitored carefully, usually with a follow-up 2 to 4 weeks after starting, then at the cadence you and your clinician decide is right. You have direct access to your clinician between visits through the secure patient portal.

Medication

Evidence-based medication options.

Medication is one tool among several. When it is the right tool, we use it carefully: starting at the appropriate dose, adjusting deliberately, and monitoring both benefit and side effects. We explain the reasoning in plain language, discuss trade-offs, and decide together.

First-line options we commonly prescribe:

  • SSRIs. Sertraline (Zoloft), escitalopram (Lexapro), fluoxetine (Prozac), and paroxetine (Paxil). Effective for GAD, panic disorder, social anxiety, and OCD. Generally well tolerated.
  • SNRIs. Venlafaxine (Effexor XR) and duloxetine (Cymbalta). Effective for anxiety that comes with depression or chronic pain.
  • Non-SSRI options. Buspirone (BuSpar) for generalized anxiety. Hydroxyzine for intermittent acute anxiety. Propranolol for performance-related physical symptoms.
  • Adjunctive options. Gabapentin, prazosin for trauma-related nightmares, and low-dose antipsychotics in specific circumstances.
Benzodiazepine policy For patient safety, we do not initiate or continue daily benzodiazepines (Xanax, Klonopin, Ativan, Valium) from other providers. Benzodiazepines may be considered short-term when clinically appropriate, while we work toward safer, longer-term solutions. This is a patient-safety decision, not a philosophical one.

Medication is never the only conversation. We work with you on sleep, caffeine and alcohol, exercise, breathing practices, and stress-management skills, because those interventions have meaningful effect sizes in anxiety. For deeper therapeutic work, we collaborate with trusted therapy partners across the Omaha area.

Pricing & Insurance

Transparent pricing. Insurance accepted.

Insurance

In-network
Most patients pay only their copay.
  • Aetna
  • Blue Cross Blue Shield
  • UnitedHealthcare (including UMR)
  • Midlands Choice
  • Nebraska Total Care (Medicaid)

Self-Pay

$300
Initial 60-minute visit. Follow-ups: $150.
  • Clear, flat pricing. No subscription.
  • Good-faith estimate provided on request.
  • Currently out of network with Medicare, Cigna, and Tricare.

Plan coverage, copay, and deductible vary by patient. We recommend verifying your mental-health benefits before your first visit.

Who we serve near Omaha & Papillion.

We see adults in person at our Papillion, Nebraska office and by secure telehealth anywhere in the state. Many of our patients come from the immediate Omaha metro; telehealth makes us accessible statewide.

Papillion Omaha Bellevue La Vista Elkhorn Gretna Millard Council Bluffs Nebraska telehealth

Also serving specific cities: Anxiety Treatment in Omaha · Mental Health Care in Bellevue

FAQ

Common questions about anxiety treatment.

Do you accept insurance for anxiety treatment?

Yes. We are in-network with Aetna, Blue Cross Blue Shield, UnitedHealthcare (including UMR), Midlands Choice, and Nebraska Total Care (Medicaid) for mental-health services, including anxiety treatment. Self-pay is $300 for the initial visit and $150 for follow-ups. Currently out of network with Medicare, Cigna, and Tricare.

How quickly can I be seen?

Most new anxiety patients are scheduled within 1 to 2 weeks. Appointments are offered in person in Papillion or by secure telehealth anywhere in Nebraska.

What anxiety medications do you prescribe?

We commonly prescribe SSRIs and SNRIs as first-line options, with non-SSRI options such as buspirone, hydroxyzine, and propranolol used when clinically appropriate. For patient safety, we do not initiate or continue daily benzodiazepines from other providers. Benzodiazepines may be considered short-term when clinically indicated.

Do you treat high-functioning anxiety?

Yes. High-functioning anxiety is common and treatable. It often gets missed because the person still looks successful on the outside. See our detailed article on high-functioning anxiety.

Can I get anxiety treatment by telehealth in Nebraska?

Yes. We provide anxiety treatment via secure video telehealth for patients physically located anywhere in Nebraska. In-person visits are available at our Papillion office for patients who prefer them. Mental-health services are licensed in Nebraska only.

What happens at the first visit?

Your first visit is 60 minutes. We review your symptom history, medical history, prior treatments, current medications, sleep, substances, and goals. Most patients leave with a clear plan and, when appropriate, a starting medication.

Do you offer therapy in addition to medication?

We provide medication management and CBT-informed supportive-therapy strategies during visits. For deeper ongoing therapy, we refer to trusted therapy partners in our care network.

Is anxiety treatment here covered by Medicaid?

Yes, for Nebraska Total Care beneficiaries. We are in-network with Nebraska Total Care for mental-health services, and there is no cancellation or no-show fee for Medicaid patients.

What if I am in a crisis?

Our practice is not designed for crisis care. If you are experiencing a mental-health emergency, please call or text 988 (Suicide & Crisis Lifeline) or call 911.

Ready to stop running on anxiety?

Evidence-based anxiety treatment from a dual ANCC board-certified nurse practitioner. Insurance accepted. Most new patients seen within 1 to 2 weeks in Papillion or by Nebraska telehealth.

Book an Appointment